Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05366 | Date 09/10/2023 |
| Token No | SM/22-23/17018 29/12/2023 | Serial | 006 |
| Patient Name | Mr. DEBASHISH DAS | Contact No | 8420816499 |
| Address | B/110/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||